Organization
HAMBRICK PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAVENA ANN HAMBRICK PTA (OWNER)
(870) 307-4226
Entity
Organization
Contact information
Practice address
270 SOUTHFORK RD, BATESVILLE, AR 72501-7791
(870) 307-4226
Mailing address
270 SOUTHFORK RD, BATESVILLE, AR 72501-7791
(870) 307-4226
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166282721
—
AR
01
—
1861672586
INDIVIDUAL NPI
AR
Enumeration date
07/14/2015
Last updated
07/14/2015
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